Visuospatial ability:

Essential Complete
und of Information:
Cochlear—
mild —
nsight and judgment:
moderate — Weber Rinne
severe —
X & X (glossopharyngeal
Abstract thought: and vagus):
paresis
plegia
monoparesis monoplegia LOC: Alert, somnolent, stuporous, comatose, encephalopathic,
MENTALhemiplegia
hemiparesis STATUS delirius, confused, abulic
I (spinal accessory): paraplegia
paraparesis Orientation: name, place, and time
Essential exam:
quadriparesis quadriplegia Attention: number string
Speech/Language: fluency, comprehension, repitition,
naming, articulation, rate/rhythm, prosody
Memory: immediate/recent/remote, visuospatial, fund of info
II (hypoglossal):
insight/judgment, abstract thought (similarity, category list)
Date, Location, Name, Repeat, Follow
pyramidal — II: Acuity, fields, fundi
NIAL NERVE
proximalEXAM —
III, IV, VI: pupils, position (strabismus, diplopia), EOM
distal —
CRANIAL NERVES V: sensation, corneal reflex, masseters
(olfactory): VII: wrinkle forehead, eyes, smile (UMN spares upper 1/3)
Abdominal Essential
— exam: VIII: finger rub, whisper
IX & X: position and symmetry of palate
XI: turn head, shrug
I (optic): Pupils, Fields, EOM, Facial Strength XII: tongue atrophy, position, strength
Cremasteric
Visual acuity— —
MOTOR Pronator drift
Essential exam: Taps
Anal wink— Appearance: fasciculation, tenderness, bulk
Tone: spastic, rigid, paratonic
Strength: mild, moderate (Ø resistance), severe (Ø gravity)
pyramidal=arm ext, leg flex (UMN); proximal=hip, shoulder
Tone, Drift, Taps, Strength (myopathy); distal=hands, feet (neuropathy)

REFLEXES
Fundi— Essential exam: Biceps, triceps, brachioradialis, patellar, ankle
entals of the Neurologic Exam Dan Lowenstein, MD, Wade Smith, MD, PhD,
Andy Josephson, MD, Susie Cornes, MD and Vanja Douglas, MD
B, A, P
SENSORY
COORDINATION Pain and light touch (spinothalamic)
Essentialexam:
Essential exam:
Light touch, vibration, joint position (dorsal column
Double simultaneous stimulation

Dan Lowenstein, MD, Wade Smith, MD, PhD,

GAIT Andy Josephson, MD, Susie Cornes, MD and Vanja Douglas, MD

OORDINATION EXAM
Light touch
ordination
COORDINATION
Essential exam: Finger-to-nose
Hand pronation/supination
Heal-knee-shin
(tandem gait)
GAIT Finger-to-nose
GAIT
Essential exam:

Normal, Toes, Heels, Tandem, Romberg

(tandem gait)
FERENCES
cerebellar
GAIT